ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse talking to parents of school-age child who describe many issues that concern them. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: A
Rationale: The correct answer is A. This indicates a potential physical issue affecting the child's ability to keep up with peers in physical activities, which could point to an underlying health concern that requires immediate attention. Other choices focus on behavioral, academic, or social issues that are not as urgent as a possible physical limitation impacting the child's physical development and well-being. It is crucial to prioritize assessing and intervening in physical health concerns to ensure the child's overall health and development.
Question 2 of 5
Nursing instructor is reviewing which actions nurses can initiate w/o provider's prescription. Students should identify which of following as nurse-initiated? (Select all that apply.)
Correct Answer: C, D, E
Rationale:
Correct Answer: C, D, E
Rationale:
- C: Nurses can educate clients on various techniques for relaxation like progressive muscle relaxation without a provider's prescription to promote self-care and stress management.
- D: Performing daily bath after an evening meal is a routine nursing intervention that promotes hygiene and comfort, which can be initiated by a nurse without a prescription.
- E: Re-positioning a client every 2 hours to reduce pressure ulcer risk is a standard nursing practice aimed at preventing complications, and nurses can initiate this intervention without needing a provider's order.
Summary:
- A: Administering morphine sulfate IV and inserting NG tubes are invasive procedures that require a provider's prescription.
- B: Inserting an NG tube is an invasive procedure that necessitates a provider's order.
- F & G: No information provided.
Question 3 of 5
Nurse caring for client just admitted after falling. This client is oriented 3x & can follow directions. Which action(s) by nurse are appropriate to decrease risk of fall? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Correct Answer: C, D, E
Rationale:
C: Ensuring the client's call light is within reach allows the client to easily call for assistance when needed, reducing the risk of falls.
D: Providing the client with nonskid footwear improves traction and stability, decreasing the risk of slipping and falling.
E: Completing a fall-risk assessment helps identify specific factors that increase the client's risk of falling, enabling tailored interventions to prevent falls.
Incorrect choices:
A: Placing a belt restraint on the client when sitting on the bedside commode is not appropriate as it restricts the client's movement and could lead to further complications.
B: Keeping the bed in a low position with full side rails up may restrict the client's mobility and independence, increasing the risk of falls. Full side rails can also pose entrapment hazards.
Question 4 of 5
Nursing instructor reviewing documentation with students. Which of the following legal guidelines should they follow when documenting in client record? (Select all that apply.)
Correct Answer: B, C
Rationale:
Correct Answer: B, C
Rationale:
1. Putting date & time on all entries ensures accurate tracking of events.
2. Documenting objective data maintains professionalism & avoids subjective bias.
Summary:
A: Covering errors is unethical & can lead to legal issues.
D: Excessive abbreviations can lead to misinterpretation & errors.
E: Waiting to document can lead to inaccuracies & jeopardize patient care.
Question 5 of 5
Nurse talking to parents of school-age child who describe many issues that concern them. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: A
Rationale: The correct answer is A. This indicates a potential physical issue affecting the child's ability to keep up with peers in physical activities, which could point to an underlying health concern that requires immediate attention. Other choices focus on behavioral, academic, or social issues that are not as urgent as a possible physical limitation impacting the child's physical development and well-being. It is crucial to prioritize assessing and intervening in physical health concerns to ensure the child's overall health and development.